Physical therapy in successful venoarterial extracorporeal membrane oxygenation bridge to orthotopic heart transplantation

ConclusionsEarly intensive physical rehabilitation is feasible and safe and may result in improved outcomes and expeditious discharge in VA ECMO patients. Protocol driven multidisciplinary physical therapy with a patient on femorally cannulated VA ‐ECMO retains the advantages of lower extremity peripheral cannulation while eliminating the risks of immobility. The new UNOS allocation system may result in a successful bridge to transplantation in patients on VA‐ECMO due to the increased prioritization of this population to receive donor org ans.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CASE REPORT Source Type: research

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Introduction: with the increasing use of methamphetamine in the United States, there is a growing prevalence of methamphetamine associated cardiomyopathy (MAC), including presentation with heart failure and cardiogenic shock. Clinical characteristics and outcomes of patients with MAC presenting with cardiogenic shock have not been previously described. compared to other non-ischemic cardiomyopathy (NICM) patients who presented with cardiogenic shock. Methods: In this retrospective case-control study of 140 patients with NICM admitted to our institution from January 1, 2015 to December 31, 2018, we compared 41 patients with...
Source: Journal of Cardiac Failure - Category: Cardiology Authors: Tags: 387 Source Type: research
Takotsubo syndrome (TS) is a neurologically mediated acute heart failure syndrome characterized by transient reversible left ventricular dysfunction affecting more than one coronary artery territory in a circumferential distribution.1,2 The syndrome is classically associated with a lack of culprit lesion on coronary angiography and is often triggered by physical or emotional stress.2 TS is variably referred to as stress cardiomyopathy, apical ballooning syndrome or broken heart syndrome and is increasingly recognized in approximately 2% of patients initially presenting with acute coronary syndromes.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
Abstract A number of devices can now provide mechanical circulatory support (MCS) to patients with acute cardiogenic shock (CS) and chronic end-stage heart failure (HF). Women differ from men in pathophysiology and natural history of CS and HF, and are usually sicker at admission. Current evidence suggests that women benefit as much as men, if not more, from both temporary and durable MCS for appropriate indications. Yet, women have been under-represented in clinical trials of MCS devices. Limited evidence suggests that women benefit more from temporary MCS in CS associated with acute myocardial infarction. Howeve...
Source: Journal of Cardiology - Category: Cardiology Authors: Tags: J Cardiol Source Type: research
Abstract: Levosimendan was first approved for clinical use in 2000, when authorization was granted by Swedish regulatory authorities for the hemodynamic stabilization of patients with acutely decompensated chronic heart failure (HF). In the ensuing 20 years, this distinctive inodilator, which enhances cardiac contractility through calcium sensitization and promotes vasodilatation through the opening of adenosine triphosphate–dependent potassium channels on vascular smooth muscle cells, has been approved in more than 60 jurisdictions, including most of the countries of the European Union and Latin America. Areas of ...
Source: Journal of Cardiovascular Pharmacology - Category: Cardiology Tags: Perspectives Source Type: research
Abstract The coronavirus disease 2019 (COVID-19), elicited by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, is a pandemic public health emergency of global concern. Other than the profound severe pulmonary damage, SARS-CoV-2 infection also leads to a series of cardiovascular abnormalities, including myocardial injury, myocarditis and pericarditis, arrhythmia and cardiac arrest, cardiomyopathy, heart failure, cardiogenic shock, and coagulation abnormalities. Meanwhile, COVID-19 patients with preexisting cardiovascular diseases are often at a much higher risk of increased morbidity and mort...
Source: Biochemical Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Biochem Pharmacol Source Type: research
AbstractCardiogenic shock as the initial manifestation of systemic lupus erythematosus (SLE) is an uncommon but catastrophic complication. Because of the lack of typical clinical features, the diagnosis of the disease is challenging. This case report describes a 47 ‐year‐old female admitted to the emergency room in refractory cardiogenic shock with dilative cardiomyopathy and a left ventricular ejection fraction (LVEF) of 25.6% of unknown origin. The patient responded poorly to the initial tries of stabilization, and the clinical status continued to deteri orate. Venous–arterial extracorporeal membrane oxygenatio...
Source: ESC Heart Failure - Category: Cardiology Authors: Tags: Case Report Source Type: research
Abstract BACKGROUND: The impact of left ventricular reverse remodeling (LVRR) on the prognosis of Chagas cardiomyopathy is unknown. The aim of this study was to determine whether the presence of LVRR can predict mortality in these patients. METHODS: From January 2000 to December 2010, the medical charts of 159 patients were reviewed. LVRR was defined as an increase of left ventricular ejection fraction (LVEF) and a decrease of left ventricular end-diastolic diameter (LVDD) by two-dimensional echocardiography. No patient underwent cardiac resynchronization therapy or required mechanical ventricular assistance....
Source: Cardiology Journal - Category: Cardiology Authors: Tags: Cardiol J Source Type: research
CONCLUSION: Patients presenting with thyroid storm-induced shock may not be suitable candidates for traditional management with β-adrenergic blockers (β-blockers). Use of β-blockers could exasperate their condition. Through extensive literature review on this rare condition, the most effective management was found to be therapeutic plasma exchange in order to decrease thyroid hormone levels, which have direct toxic effect on the heart. Furthermore, the use of ECMO and Impella are advised to reduce pressure on the heart and ensure the patient's organs are well oxygenated and perfused while the left ventricle ...
Source: Current Cardiology Reviews - Category: Cardiology Tags: Curr Cardiol Rev Source Type: research
AbstractAimsTakotsubo cardiomyopathy (TC) is characterized by transient ventricular impairment, often preceded by emotional or physical stress. Racial differences affect the outcomes of several cardiovascular conditions; however, the effect of race on TC remains unknown. This investigation aims to assess the effect of race on in ‐hospital outcomes of TC in a large national sample.Methods and resultsWe conducted a US ‐wide analysis of TC hospitalizations from 2006 to 2014 by querying the National Inpatient Sample database for the International Classification of Diseases‐ninth Revision TC code, characteristics, and inp...
Source: ESC Heart Failure - Category: Cardiology Authors: Tags: Original Research Article Source Type: research
Publication date: Available online 11 December 2019Source: JACC: Heart FailureAuthor(s): Daniel J.P. Burns, Jason Arora, Oluwakemi Okunade, John F. Beltrame, Sabrina Bernardez-Pereira, Marisa G. Crespo-Leiro, Gerasimos S. Filippatos, Suzanna Hardman, Arno W. Hoes, Stephen Hutchison, Mariell Jessup, Tina Kinsella, Michael Knapton, Carolyn S.P. Lam, Frederick A. Masoudi, Hugh McIntyre, Richard Mindham, Louise Morgan, Luuk Otterspoor, Victoria ParkerAbstractWhereas multiple national, international, and trial registries for heart failure have been created, international standards for clinical assessment and outcome measurement...
Source: JACC: Heart Failure - Category: Cardiology Source Type: research
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